Director, Pre-bill DRG Validation & CDI Strategy

CorroHealth, Inc.; Northern (KY); Hybrid; USD 150,000 - 210,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with company match

Continuing education support

Job summary

CorroHealth, Inc. is seeking a Director of the Pre-bill DRG Validation Program to design and execute DRG validation strategies across multiple clients.

The role leads clinical validation reviewers, coding auditors, and CDI professionals while partnering with hospital leadership to ensure documentation accuracy, coding compliance, and financial performance. The position is remote with occasional travel and requires strong expertise in ICD-10-CM/PCS, CMS rules, and payer policies.

Qualifications

• Clinical leadership experience in CDI or DRG validation.
• Proven ability to oversee DRG validation processes and pre-bill reviews.
• Experience with ICD-10-CM/PCS, coding guidelines, and payer policies.

Responsibilities

• Lead end-to-end design and execution of the pre-bill DRG validation program.
• Oversee clinical validation, coding accuracy, and QA with targets for reliability and turnaround.
• Manage a multi-disciplinary team of validators, auditors, and CDI specialists.
• Act as executive sponsor for client HIM/CDI leadership and governance meetings.
• Ensure HIPAA compliance and optimize denials prevention and financial impact.

Skills

Cdi leadership

Drg validation

Healthcare analytics

Team management

Client relationship

Education

Clinical degree required (RN/MD/PA/NP)

Bachelor's degree required; Master's preferred

Tools

3M Encoder

Epic/EHR systems

CDI platforms (Solistium-like)

Job description

CorroHealth, Inc. is seeking a Director of the Pre-bill DRG Validation Program to design and execute DRG validation strategies across multiple clients.

The role leads clinical validation reviewers, coding auditors, and CDI professionals while partnering with hospital leadership to ensure documentation accuracy, coding compliance, and financial performance. The position is remote with occasional travel and requires strong expertise in ICD-10-CM/PCS, CMS rules, and payer policies.